{"title":"Childhood Trauma and Substance Use Treatment Length of Stay and Completion","authors":"Bailee Stones, Cory B. Dennis","doi":"10.1080/07347324.2023.2205830","DOIUrl":"https://doi.org/10.1080/07347324.2023.2205830","url":null,"abstract":"ABSTRACT Using clinical data mining (CDM) methodology, this study evaluates the relationship between childhood trauma and treatment outcomes among adults with substance use disorders. Data come from three substance use treatment facilities operating under the same agency using the same treatment program (N = 444). We examined the influence of childhood trauma, neglect, and school violence on substance use treatment completion and length of stay. We also looked at the connection between client’s family history of substance use and their experience of neglect and childhood trauma. We found that family history of substance use was significantly related to both neglect and childhood trauma. We also found that the number of weeks a client spent in treatment was associated treatment location. Furthermore, client age at admission and program completion were significantly related. Marital status, sex, and number of diagnoses significantly related to childhood trauma. These findings suggest that comprehensive assessments that focus on understanding client demographics and history of family substance use can guide effective intervention. Further research on how childhood trauma influences substance use treatment outcomes can also help improve treatment.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 1","pages":"265 - 277"},"PeriodicalIF":0.9,"publicationDate":"2023-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47304614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dana C. Branson, Elizabeth D. Arlington, Christopher S. Bradley
{"title":"The Importance of Rest in Trauma Services: Perhaps We Should Consider Naps!","authors":"Dana C. Branson, Elizabeth D. Arlington, Christopher S. Bradley","doi":"10.1080/07347324.2023.2204818","DOIUrl":"https://doi.org/10.1080/07347324.2023.2204818","url":null,"abstract":"ABSTRACT With the increase in social service agencies providing trauma-informed care (TIC) as part of their holistic approach to client care, evidence of effective practices has emerged. This research study explores clients’ requests for real-time rest in residential treatment facilities as a part of their trauma treatment. The article will discuss the intricacies of co-occurring issues and trauma, prevalence, and further complicating issues of Adverse Childhood Experiences (ACE), the neurology of trauma that is indicative of the need for increased physical and emotional rest, and the tenets of TIC principles that emphasize the need for client safety, individuality in interventions, and client choice for positive treatment outcomes. The results from a mixed methods design involving participants from substance use disorder (SUD) treatment facilities (n = 47) and themes concerning desired real-time rest will be reviewed, as well as implications for residential treatment facilities providing TIC.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 1","pages":"278 - 295"},"PeriodicalIF":0.9,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46742354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Addressing Therapeutic Nihilism in Alcohol-Related Liver Disease: A Hepatology Perspective to Terminal Illness and Palliative Care","authors":"P. Berry","doi":"10.1080/07347324.2023.2202153","DOIUrl":"https://doi.org/10.1080/07347324.2023.2202153","url":null,"abstract":"ABSTRACT Alcohol-related liver disease, in the context of incurable alcohol dependency, is a terminal disease. Liver specialists are accustomed to watching patients die, both young and old, and this may erode their perceived primary responsibility to extend life. It is common for nihilism to set in, with the risk that this colors the assessment of future patients. This opinion article explores this phenomenon through representative, anonymized cases and the author’s own psychological response. He proposes that therapeutic positivity must be maintained, and that a refreshed attitude to patient care can be found through the acceptance that patients in this cohort are terminally ill, thus invoking the need to consider and access palliative care. Hepatologists must continue to find a balance between advocating for an aggressive approach to therapy (e.g. escalation to critical care, transplantation) in selected cases, while being poised to recommend supportive and palliative pathways when there are indicators of futility. To provide this, hepatologists may require upskilling later in their careers. Embracing palliative care is clearly of benefit to patients, and this article identifies it as way of maintaining engagement among doctors.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 1","pages":"362 - 368"},"PeriodicalIF":0.9,"publicationDate":"2023-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42414753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Best, A. Sondhi, Jessica Best, John Lehman, Anthony Grimes, M. Conner, Robert DeTriquet
{"title":"Using Recovery Capital to Predict Retention and Change in Recovery Residences in Virginia, USA","authors":"D. Best, A. Sondhi, Jessica Best, John Lehman, Anthony Grimes, M. Conner, Robert DeTriquet","doi":"10.1080/07347324.2023.2182246","DOIUrl":"https://doi.org/10.1080/07347324.2023.2182246","url":null,"abstract":"ABSTRACT Interest in recovery capital has been growing and there have been increased attempts to quantify this concept. The current paper uses the REC-CAP, a standardized assessment of recovery capital, to predict retention across multiple recovery residence settings and quantify changes in recovery capital and barriers to recovery over the initial period of residence. The REC-CAP was administered by peer navigators at admission and at 90-day intervals thereafter in recovery residences in Virginia, US. Strong effects predicting retention, changes in barriers and recovery capital growth were reported based on risk-taking and addressing acute housing concerns. The strongest effects predicting retention in recovery residences were for people not using substances and not being Black or African American. Reducing barriers to recovery and to improving recovery capital focused on avoiding ongoing substance use, lack of support needs around accommodation, higher psychological wellbeing and measures associated with social support and quality of life. There is a need to develop a holistic, tailored package of support for people in recovery residents to address these core concerns.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 1","pages":"250 - 262"},"PeriodicalIF":0.9,"publicationDate":"2023-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49255075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Recovery: Measurement, Support and Retention","authors":"Regina B. Baronia, Zachery Sneed, S. Bergeson","doi":"10.1080/07347324.2023.2182462","DOIUrl":"https://doi.org/10.1080/07347324.2023.2182462","url":null,"abstract":"differences between Oxford House recovery home residents with and without psychiatric comorbidities. The researchers reported that unique interdepen-dencies exist among individuals with psychiatric comorbidity for advice seeking, loaning, and recovery factor scores. Recovery homes are filled with social dynamics. In this study, the authors describe the emergence of components from a dynamic systems theory and provide a deeper explanation of how Oxford House recovery homes promote long-term recovery.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 1","pages":"147 - 148"},"PeriodicalIF":0.9,"publicationDate":"2023-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46384609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Gallagher, Preeti Menon, Zephi Francis, M. Collinson, Peace Odili
{"title":"Color in the Court: Using the Racial and Ethnic Disparities (RED) Program Assessment Tool to Promote Equitable and Inclusive Treatment Court Practice","authors":"J. Gallagher, Preeti Menon, Zephi Francis, M. Collinson, Peace Odili","doi":"10.1080/07347324.2023.2173037","DOIUrl":"https://doi.org/10.1080/07347324.2023.2173037","url":null,"abstract":"ABSTRACT Treatment courts have been part of the criminal justice system for nearly three-and-a-half decades. The first treatment court, an adult drug court, began in 1989 in Florida, and due to the success of drug courts in reducing criminal recidivism rates, the intervention has evolved to address other problems and populations, such as veterans treatment courts (VTCs) and family treatment courts (FTCs). Treatment courts have been credited with promoting criminal justice reform, as they offer a rehabilitative approach to justice, as compared to historical punitive models. Research, however, has consistently shown that racial and ethnic minorities have lower completion rates in some treatment courts than their white counterparts. This study is the first statewide evaluation to use the Racial and Ethnic Disparities (RED) Program Assessment Tool to assess for racial and ethnic disparities in programming across several types of treatment courts (n = 30). Results showed that 64.9% of white participants completed treatment court, whereas all other races had completion rates less than 30.0%. Implications for treatment court practice are discussed in reference to staff training, the quality of treatment participants receive for substance use and mental health disorders, future research, and other key components of the treatment court model.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 1","pages":"149 - 161"},"PeriodicalIF":0.9,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47745310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Fischer, Rachel Engler Jordan, E. Trejos-Castillo, K. Lyness
{"title":"Sibling Training Hypothesis: Alcohol Use Behaviors Among Three Adolescent Siblings","authors":"J. Fischer, Rachel Engler Jordan, E. Trejos-Castillo, K. Lyness","doi":"10.1080/07347324.2023.2167527","DOIUrl":"https://doi.org/10.1080/07347324.2023.2167527","url":null,"abstract":"ABSTRACT The sibling training hypothesis posits that younger siblings will come to resemble older siblings but has not been tested across three adolescent sibling dyads. In paired t-tests, sibling training was assessed across three sibling dyads (N = 102 families, 306 adolescents, Add Health data set, Waves 1 and 2). Evidence for drinking training appeared in the oldest/middle sibling dyad but not in dyads involving the youngest sibling. In latent congruence modeling, significant predictors of sibling drinking similarity included drinking by friends in the oldest/middle and oldest/youngest dyads. Research beyond the study of a single sibling dyad in a family is needed to better understand the generalizability of social influences, how they come about as well as consequences for adolescents and their families.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 1","pages":"200 - 221"},"PeriodicalIF":0.9,"publicationDate":"2023-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59940088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mr Philip Truby, C. Hewitt, D. Raistrick, G. Tober, J. Watson
{"title":"Measuring Recovery: The Addiction Recovery Questionnaire (ARQ)","authors":"Mr Philip Truby, C. Hewitt, D. Raistrick, G. Tober, J. Watson","doi":"10.1080/07347324.2023.2167529","DOIUrl":"https://doi.org/10.1080/07347324.2023.2167529","url":null,"abstract":"ABSTRACT The Addiction Recovery Questionnaire (ARQ) is derived from the views of service users, their families and friends. Data were collected from 305 participants in the UK general population and addiction services, asked to self-identify as being in one of three groups: treatment, recovery or well-functioning, and complete the ARQ. Regression and latent class analyses were used to determine that the ARQ could distinguish the three groups. Clinically significant change values were established. Although there are some discrepancies in the way individuals define their recovery, self-identification was found to be broadly valid. The ARQ is able to assign people to different stages of recovery from addiction, and provides an instrument for monitoring change and measuring outcomes in the key components of lifestyle, involvement with substance use and self-confidence.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 1","pages":"162 - 172"},"PeriodicalIF":0.9,"publicationDate":"2023-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43862586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Complex Contexts within Oxford Houses: Psychiatrically Comorbid Social Networks.","authors":"Ted J Bobak, John M Majer, Leonard A Jason","doi":"10.1080/07347324.2023.2181120","DOIUrl":"10.1080/07347324.2023.2181120","url":null,"abstract":"<p><p>This study aimed to explore whether there are differences between Oxford House recovery home residents with psychiatric comorbidity in their ability to form, maintain, and dissolve loaning ties and seek advice, when compared to Oxford House residents without comorbidity, and if differences do exist, are those ties mono- or bi-directional. Findings indicated unique interdependencies among individuals with psychiatric comorbidity for advice seeking, loaning, and recovery factor scores. The results of this investigation are consistent with the dynamic systems theory conceptions of community-based recovery. Recovery homes provide access to social capital, via the residents' social network, by facilitating recovery-oriented social exchanges, which can lead to changes to the recovery home social dynamics. Upon interpreting the results of this study, components from a dynamic systems theory emerged (e.g., explaining the processes that preserve or undermine the development, maintenance, and dissolution of a network); and provided a framework for interpreting the loaning, advice-seeking, and the latent recovery factor networks and their relationship with psychiatric comorbidity. A deeper understanding of the interplay among these dynamics is described providing an understanding of how Oxford House recovery homes promote long-term recovery in a shared community setting for those with high psychiatric comorbidity.</p>","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 2","pages":"237-249"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10237632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9955601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Douglas L Polcin, Elizabeth Mahoney, Meenakshi Subbaraman, Amy A Mericle
{"title":"Giving and Receiving Help among Persons Entering Sober Living Houses.","authors":"Douglas L Polcin, Elizabeth Mahoney, Meenakshi Subbaraman, Amy A Mericle","doi":"10.1080/07347324.2023.2242801","DOIUrl":"10.1080/07347324.2023.2242801","url":null,"abstract":"<p><p>Giving and receiving help are integral to creating the social environments necessary to support recovery. However, studies assessing the effects of helping behaviors have focused primarily on the benefits derived from giving help to others in 12-step programs and treatment. The current study examined the frequency of giving and receiving help among 188 persons entering sober living houses (SLHs), a type of recovery home that is common in California. Helping was assessed in three contexts: the SLH, 12-step meetings they attended, and interactions with their family and friends. Residents who gave help to others in one of these contexts tended to also receive help in that context. Residents who reported giving or receiving help in one context tended to report giving and receiving help in other contexts. Study findings suggest helping in recovery occurs in a broader, more reciprocal manner than currently conceptualized. Studies should address how giving and receiving help in different contexts affects recovery outcomes. Research is also needed to describe the determinants of giving and receiving help. Considerations for facilitating help among SLH residents are described.</p>","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 1","pages":"488-503"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10655961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46803280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}